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Published in: Indian Journal of Otolaryngology and Head & Neck Surgery 3/2022

21-03-2022 | Snoring | Original Article

Endoscopic Adenoidectomy Replacing the Outdated Curette Adenoidectomy: Comparison of the Two Methods at a Tertiary Care Centre

Authors: Monica Manhas, Faizah Ashfah Latief Deva, Sugandha Sharma, Disha Koul, Naveed Gul, Padam Singh Jamwal, Parmod Kalsotra

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Special Issue 3/2022

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Abstract

To compare intraoperative and postoperative parameters of the two techniques of adenoidectomy, endoscope and microdebrider powered adenoidectomy and conventional adenoidectomy. Study Design Prospective study. Setting: Academic tertiary referral centre. In our study, cases of adenoid hypertrophy were randomly selected from the outpatient department of department of ORL & HNS. Out of these patients, 30 underwent Endoscopic adenoidectomy (EA) (Group A) and 30 underwent Conventional adenoidectomy (CA) (Group B). All of the patients were assessed pre-operatively, intra-operatively and post-operatively to compare the various parameters. The most common complaint in both the groups was mouth breathing with snoring. Intra-operative bleeding was 29.15 ml in group EA and 15.2 ml in group CA. Operative time for CA was shorter at 21.8 min as compared to 32.1 min for group EA. Residual adenoids and injury to adjacent structures were more common in group CA. Hospital stay was 3.2 days for EA patients and 3.43 days for CA patients. Resolution of symptoms was near comparable in both groups. Operative time and intra-operative bleeding are both significantly reduced with the CA as opposed to EA. However, injury to adjacent structures and residual adenoids occur significantly less in group EA. After weighing the risks and benefits, we can conclude that EA is comparatively better than CA.
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Metadata
Title
Endoscopic Adenoidectomy Replacing the Outdated Curette Adenoidectomy: Comparison of the Two Methods at a Tertiary Care Centre
Authors
Monica Manhas
Faizah Ashfah Latief Deva
Sugandha Sharma
Disha Koul
Naveed Gul
Padam Singh Jamwal
Parmod Kalsotra
Publication date
21-03-2022
Publisher
Springer India
Keyword
Snoring
Published in
Indian Journal of Otolaryngology and Head & Neck Surgery / Issue Special Issue 3/2022
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-022-03089-y

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